Home > Calculator > 433b

Tax Form calculator

You are currently viewing Tax Form 433b Fill in and Calculate Online. Use the Tax Form Calculator to calculate your Federal and State Tax Return. Updated with 2018/2019 tax tables. You may also like our 2018 Tax Saving Tips.

Form 433b: Collection Information Statement for Businesses

Use Tax Form 433b: Collection Information Statement for Businesses as a stand alone tax form calculator to quickly calculate specific amounts for your 2018 tax return. Form 433b: Collection Information Statement for Businesses is also integrated into our comprehensive US Tax Calculator where you can complete and save your calculations for later use. Alternatively you can use one of our Combined Federal and State Tax Estimator to quickly calculate your salary, tax and take home pay.

< td colspan="7"> (If yes, answer the following)
Collection Information Statement for Businesses
Note: Complete all entry spaces with the current data available or "N/A" (not applicable). Failure to complete all entry spaces may result in rejection of your request or significant delay in account resolution. Include attachments if additional space is needed to respond completely to any question.
Section 1: Business Information
1a
2a
1b


2bType of entity (Check appropriate box below)


1c 2c mmddyyyy
1d 3a
1e 3b
3c
1f 3d Yes   No
4 Yes   No
PAYMENT PROCESSOR (e.g., PayPal, Authorize.net, Google Checkout, etc.) Name and Address (Street, City, State, ZIP code)Payment Processor Account Number
5a
5b
CREDIT CARDS ACCEPTED BY THE BUSINESS
Type of Credit Card (e.g., Visa, Mastercard, etc.) Merchant Account NumberIssuing Bank Name and Address (Street, City, State, ZIP code)
6a
6b
6c
Section 2: Business Personnel and Contacts
PARTNERS, OFFICERS, LLC MEMBERS, MAJOR SHAREHOLDERS, ETC.
7a
Yes   No
7b
Yes   No
7c
Yes   No
7d
Yes   No
Section 3: Other Financial Information (Attach copies of all applicable documents)
8 Yes   No


9 (If yes, answer the following) Yes   No




$


10 Yes   No





11(If yes, answer the following) Yes   No



mmddyyyy
$


$
12(If yes, answer the following) Yes   No


$


13(If yes, answer the following) Yes   No


14(If yes, answer the following) Yes   No


$

15 Yes   No
Section 4: Business Asset and Liability Information
16aCASH ON HAND Include cash that is not in the bank$
16b Yes   No
BUSINESS BANK ACOUNTS Include online and mobile accounts (e.g., PayPal), money market accounts, savings accounts, checking accounts and stored value cards (e.g., payroll cards, government benefit cards, etc.)
List safe deposit boxes including location, box number and value of contents. Attach list of contents.
Type of AccountFull Name and Address (Street, City, State, ZIP code) of Bank, Savings & Loan, Credit Union or Financial InstitutionAccount NumberAccount Balance
As of
mmddyyyy
17a$
17b$
17c$
17d$
ACCOUNTS/NOTES RECEIVABLE Include e-payment accounts receivable and factoring companies, and any bartering or online auction accounts. (List all contracts separately including contracts awarded, but not started). Include Federal, state and local government grants and contracts.
Name & Address (Street, City, State, ZIP code)Status (e.g., age, factored, other)Date Due
(mmddyyy)
Invoice Number or Government Grant or Contract NumberAmount Due
18a

$
18b

$
18c

$
18d

$
18e

$
18f$
INVESTMENTS List all investment assets below. Include stocks, bonds, mutual funds, stock options, certificates of deposit and commodities (e.g., gold, silver, copper, etc.).
Name of Company & Address
(Street, City, State, ZIP code)
Used as collateral on loanCurrent ValueLoan BalanceEquity
Value Minus Loan
19a
$$$
19b
$$$
19c$
AVAILABLE CREDIT Include all lines of credit and credit cards.
Full Name & Address (Street, City, State, ZIP code)Credit LimitAmount Owed
As of
mmddyyyy
Available Credit
As of
mmddyyyy
20a
$$$
20b
$$$
20c$
REAL PROPERTY Include all real property and land contracts the business owns/leases/rents.
Purchase/ Lease Date (mmddyyyy)Current Fair Market Value (FMV)Current Loan BalanceAmount of Monthly PaymentDate of Final Payment (mmddyyyy)Equity
FMV Minus Loan
21a
$$$$



21b
$$$$



21c
$$$$



21d
$$$$



21e$
VEHICLES, LEASED AND PURCHASED Include boats, RVs, motorcycles, all-terrain and off-road vehicles, trailers, mobile homes, etc.
Purchase/ Lease Date (mmddyyyy)Current Fair Market Value (FMV)Current Loan BalanceAmount of Monthly PaymentDate of Final Payment (mmddyyyy)Equity
FMV Minus Loan
22a  

$$$$





22b  

$$$$





22c  

$$$$





22d  

$$$$





22e$
BUSINESS EQUIPMENT AND INTANGIBLE ASSETS Include all machinery, equipment, merchandise inventory, and other assets in 23a through 23d. List intangible assets in 23e through 23g (licenses, patents, logos, domain names, trademarks, copyrights, software, mining claims, goodwill and trade secrets.)
Purchase/ Lease Date (mmddyyyy)Current Fair Market Value (FMV)Current Loan BalanceAmount of Monthly PaymentDate of Final Payment (mmddyyyy)Equity
FMV Minus Loan
23a
$$$$



23b
$$$$



23c
$$$$



23d
$$$$



23e
$
23f
$
23g
$
23h$
BUSINESS LIABILITIES Include notes and judgements not listed previously on this form.
Business LiabilitiesSecured/
Unsecured
Date Pledged (mmddyyyy)Balance OwedDate of Final Payment (mmddyyyy)Payment Amount
24a
$$


24b
$$


24c$
Section 5: Monthly Income/Expenses Statement for Business
Accounting Method Used:
Use the prior 3, 6, 9 or 12 month period to determine your typical business income and expenses.
Provide a breakdown below of your average monthly income and expenses, based on the period of time used above.
Total Monthly Business IncomeTotal Monthly Business Expenses
Income SourceGross MonthlyExpense itemsActual Monthly
25$36$
26$37$
27$38$
28$39$
29$40$
Other Income (Specify below)41$
30$42$
31$43$
32$44$
33$45$
34$46$
35$47$
48$
49$
1   Materials Purchased: Materials are items directly related to the production of a product or service.
2   Inventory Purchased: Goods bought for resale.
3   Supplies: Supplies are items used to conduct business and are consumed or used up within one year. This could be the cost of books, office supplies, professional equipment, etc.
4   Utilities/Telephone: Utilities include gas, electricity, water, oil, other fuels, trash collection, telephone, cell phone and business internet.
5   Current Taxes: Real estate, state, and local income tax, excise, franchise, occupational, personal property, sales and the employer's portion of employment taxes.

Tip: use the US Tax Calculator to edit your refundable and non-refundable tax credits including Form 433b: Collection Information Statement for Businesses. Complete, Calculate, print and or save your tax calculation for later use.

Follow us on Facebook to be informed of the latest updates to the US Tax Form Calculator and our popular Tax and Finance Calculators.

Online Collection Information Statement for Businesses, complete, calculate, print or save for later use. Tax Form Calculator